National Provider Identifier

Northtown Podiatry Group PC

Northtown Podiatry Group PC is listed in the NPPES registry with a primary specialty of Podiatrist in Buffalo, NY and a listed phone number of (716) 838-2983.

NPI 1447277280Buffalo, NYPodiatrist

Source: public NPPES record, last updated August 22, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.

Profile Overview

NPI
1447277280
Provider Type
Organization
Primary Specialty
Podiatrist
Enumeration Date
July 17, 2006
Last Updated
August 22, 2020

Practice Location

  • 2121 Main St
  • Suite 214
  • Buffalo, NY 14214-2693

Phone: (716) 838-2983

Authorized Official

Name
Sean E Keating
Title
President
Credentials
DPM
Phone
(716) 838-2983

Specialties

  • Podiatrist (213E00000X)

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Full Record
NPI
1447277280
Entity Type
Organization
EIN
<UNAVAIL>
Organization Name
Northtown Podiatry Group PC
Mailing Street Address
2121 Main St
Mailing Address Line 2
Suite 214
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-2693
Mailing Country
US
Mailing Phone
(716) 838-2983
Mailing Fax
(716) 838-2942
Practice Street Address
2121 Main St
Practice Address Line 2
Suite 214
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214-2693
Practice Country
US
Practice Phone
(716) 838-2983
Practice Fax
(716) 838-2942
Enumeration Date
July 17, 2006
Last Updated
August 22, 2020
Authorized Official Last Name
Keating
Authorized Official First Name
Sean
Authorized Official Middle Name
E
Authorized Official Title
President
Authorized Official Phone
(716) 838-2983
Organization Subpart
No
Authorized Official Credential Text
DPM
Taxonomy Group 1
193400000X Single Specialty Group
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Podiatrist (213E00000X)
Other Identifiers
1499938 (NY, Ghi), 01001743 (NY)